Doctor of Medicine: Clinical Applications All Other Years Clerkships

FMED 8110 Family and Community Medicine
Credits:
5.5
Directors:
VanDerKolk
Grading:
Honors/High Pass/Pass/Fail
Description:

The Family and Community Medicine Year 3 Clerkship is designed to introduce students to the depth and breadth of family medicine, and the critical role it plays in the delivery of health care in the United States.  Students will be exposed to a wide variety of material, some seen in other clerkships and rotations, but in the context of the core overriding principle of family medicine, continuity of care.

Objectives:
  • Discuss the principles of family medicine care and the critical role of family physicians within any health care system.
  • Gather information, formulate differential diagnoses, and propose plans for the initial evaluation and management of patients with common presentations.
  • Manage follow-up visits with patients presenting with one or more common chronic diseases.
  • Develop evidence-based health promotion and disease prevention plans for patients of any age or gender including education, risk reduction and health enhancement strategies.
  • Demonstrate competency in advanced elicitation of history, communication, physical examination, and critical thinking skills.
  • Demonstrate behaviors consistent with the highest standards of professionalism and medical ethics in all patient encounters.
  • Demonstrate professional behaviors when interacting with patients, families, and all members of the health care team (including physicians and non-physician health professionals).

*  Adapted from the Society of Teachers of Family Medicine.

MED 8110 Medicine and Neurology
Credits:
11
Directors:
Olken, Crooks
Grading:
Honors/High Pass/Pass/Fail
Description:

The 11-week third year combined Medicine/Neurology Clerkship offers a variety of internal medicine and neurology clinical experiences.  Students will be assigned to either Borgess Medical Center or Bronson Methodist Hospital as their "home base" facility.  Students will immerse themselves ​with 1 week of ambulatory internal medicine, 2 weeks of WMed academic medicine, 2 weeks of hospitalist medicine, 1 week of nights, 1 week in a subspecialty (e.g. palliative care, cardiology or infectious disease) and each student will spend one week on the inpatient service for neurology at Bronson Methodist Hospital, Borgess Medical Center, or Bronson Battle Creek Hospital.  They will be a member of the team seeing consults and caring for the hospitalized patients with neurological issues.  During this week they also will be involved in the evaluation of acute infarcts/strokes.

Objectives:
  • Obtain an accurate medical history on adult patients.
  • Perform a thorough physical examination on adult patients.
  • Obtain an accurate, relevant focused medical history when appropriate.
  • Obtain an accurate, relevant focused physical examination when appropriate.
  • Formulate a differential diagnosis from the history and physical findings of an adult patient.
  • Formulate a diagnostic plan from the history and physical findings of an adult patient.
  • Determine indications for common diagnostic tests.
  • Interpret diagnostic test results for adult patients.
  • Generate a therapeutic plan for the patient’s acute and active chronic medical problems, including rehabilitative and end-of-life goals, for a given clinical encounter utilizing evidence-based medicine.
  • Communicate organized the patient information with available data into the appropriate note type.
  • Communicate findings into concise oral patient presentations.
  • Recognize wellness, determinants of health, and preventive health guidelines for adult patients.
  • Demonstrate behaviors consistent with the highest standards of professionalism including medical ethics at all times.
  • Communicate relevant patient information to pertinent healthcare workers.
  • Solicit feedback with acceptance of constructive criticism to address gaps in medical knowledge, clinical reasoning, and clinical skills.
  • Demonstrate self-learning as applied to patient’s clinical problems.
  • Recognize importance of one’s own wellness. 

*Adapted from Yale University School of Medicine’s reduced version of the Clerkship Directors in Internal Medicine/ Society of General Internal Medicine objectives.

Neurology Objectives*:

  • Examine patients with altered level of consciousness or abnormal mental status.
  • Identify grossly abnormal findings in patients with altered level of consciousness or abnormal mental status.
  • Deliver a clear, concise, and thorough oral presentation of a neurologic patient's history and examination.
  • Prepare a clear, concise, and thorough written presentation of a neurologic patient's history and examination.
  • Perform a lumbar puncture on a task trainer demonstrating proper aseptic and procedural technique.
  • Recognize symptoms that may signify neurologic disease (including disturbances of consciousness, cognition, language, vision, hearing, equilibrium, motor function, somatic sensation, and autonomic function).
  • Distinguish normal from abnormal findings on a neurologic examination.
  • Localize the likely site or sites in the nervous system where a lesion could produce a patient's symptoms and signs.
  • Formulate a differential diagnosis based on lesion localization, time course including relevant historical and demographic features.
  • Discuss the use including interpretation of common test used in diagnosing neurological disease.
  • Demonstrate awareness of the principles underlying a systematic approach to the management of common neurologic diseases incorporating the recognition and management of situations that are potential emergencies.

* Adapted from the American Academy of Neurology, Association of University Professors of Neurology, and American Neurological Association.

OBGY 8110 Women's Health
Credits:
7.5
Directors:
McGhee, Linares
Grading:
Honors/High Pass/Pass/Fail
Description:

The Women’s Health Year 3 Clerkship is intended to be a comprehensive, challenging, and rewarding experience addressing essential clinical aspects of obstetrics and gynecology.  The Preparatory Week includes a variety of activities to assure success during the subsequent clinical component.  The six-week Clinical Experience affords students a wide range of clinical opportunities to develop the requisite knowledge and skills in Women’s Health.  The Assessment Week, is designed to crystalize principles to accomplish oral and written components for evaluation.  The following components make up the Clinical Experience: 3 weeks of OB/Gyn Preceptorship, 1 week (6 days) of Maternal and Fetal Medicine (Bronson), 1 week (5 nights) Labor and Delivery (Night Float), and 1 week (5 days) Gynecologic Surgery and/or Gynecology. During the Clinical Experience weeks, students will be expected to complete Independent Study modules covering various topics relating to the particular clinical component.  The Summative and Assessment week is intended to review and synthesize essential clinical concepts, review and assess important clinical skills, and prepare for and successfully complete the NBME Shelf Exam.

Objectives:
  • Discuss how women’s reproductive function impacts all of health and disease, including how other diseases impact reproductive function in women.
  • Develop competence in the medical interview and physical examination of women, incorporating ethical, social and diversity perspectives to provide culturally competent health care.
  • Apply recommended prevention strategies to women throughout the lifespan.
  • Explain the normal physiologic changes of pregnancy including interpretation of common diagnostic studies.
  • Describe common problems in obstetrics.
  • Demonstrate knowledge of intrapartum care of the mother and newborn.
  • Demonstrate knowledge of postpartum care.
  • Describe menstrual cycle physiology, discuss puberty and menopause and explain normal and abnormal bleeding.
  • Describe the etiology and evaluation of infertility.
  • Develop in-depth knowledge of contraception, including sterilization and abortion.
  • Demonstrate knowledge of common benign gynecological conditions.
  • Formulate a differential diagnosis of the acute abdomen and chronic pelvic pain.
  • Describe common breast conditions and outline the evaluation of breast complaints.
  • Demonstrate knowledge of perioperative care and familiarity with gynecological procedures.
  • Describe gynecological malignancies including risk factors, signs and symptoms and initial evaluation.
  • Provide a preliminary assessment of patients with sexual concerns.
  • Discuss common ethical issues that arise in the provision of reproductive health care to women.
  • Demonstrate behaviors consistent with the highest standards of professionalism and medical ethics in all patient encounters.
  • Demonstrate professional behaviors when interacting with patients, families, and all members of the health care team (including physicians and non-physician health professionals).

*  Adapted from the Association of Professors of Gynecology and Obstetrics.

PEDS 8110 Pediatric and Adolescent Medicine
Credits:
5.5
Directors:
K Gibson
Grading:
Honors/High Pass/Pass/Fail
Description:

The third year Core Pediatric and Adolescent Clerkship will provide the student with broad exposure to both the inpatient and ambulatory aspects of general pediatric care.  There are four components to the clerkship: Preparatory week, three weeks of ambulatory pediatrics, three weeks of in-patient pediatrics, and synthesis ad assessment week.

Objectives:
  • Demonstrate knowledge of growth and development (physical, physiologic and psychosocial) and of its clinical application from birth through adolescence.
  • Acquire knowledge necessary for diagnosing and initiating management of common pediatric acute and chronic illnesses.
  • Demonstrate an understanding of the approach of pediatricians to the health care of children and adolescents.
  • Demonstrate an understanding of the influence of family, community and society on the child in health and disease.
  • Develop communication skills that facilitate the clinical interaction with children, adolescents and their families and thus ensure complete and accurate data are obtained.
  • Develop competency in the physical examination of infants, children and adolescents.
  • Develop clinical problem-solving skills.
  • Develop and discuss strategies for health promotion as well as disease and injury prevention, including but not limited to the role of immunizations in prevention.
  • Develop attitudes and professional behaviors appropriate for clinical practice.
  • Discuss management strategies for common pediatric diseases.
  • Demonstrate behaviors consistent with the highest standards of professionalism and medical ethics in all patient encounters.
  • Demonstrate professional behaviors when interacting with patients, families, and all members of the health care team (including physicians and non-physician health professionals)

*  Adapted from the Council On Medical Student Education in Pediatrics.

PSYC 8110 Psychiatry
Credits:
3.5
Directors:
Longstreet
Grading:
Honors/High Pass/Pass/Fail
Description:

The goals of the third year medical student clerkship in Psychiatry is designed to provide the student with a broad clinical experience. ​
The students will participate in clinical experiences in the inpatient unit at Borgess ​or the inpatient unit at the Battle Creek VA.

Objectives:
  • Conduct a complete psychiatric history and examination.
  • Recognize the importance of historical data from multiple sources including family members, healthcare providers, spiritual leaders, old records, child’s teachers, indigenous and complementary providers, etc.
  • Interpret historical data obtained from multiple, relevant sources.
  • Discuss signs and symptoms of psychiatric disorders.
  • Perform the components of the comprehensive Mental Status Examination.
  • Describe common abnormalities, including their causes, for each component of the Mental Status Exam.
  • Perform common screening exams for common psychiatric disorders.
  • Discuss assessing patients who may be at risk for harm to themselves or others.
  • Demonstrate an effective repertoire of interviewing skills including engaging and putting patients at ease, and avoiding common pitfalls.
  • Provide appropriate follow up on patient's clinical progress.
  • Discuss the common methods of various psychotherapies.
  • Discuss common therapeutics, including the indications, contraindications, basic mechanism of action, and side effects of psychotropic medications.
  • Discuss ethical principles in the care of psychiatric patients including respect for patient's autonomy and confidentiality.
  • Discuss relevant legal issues such as capacity evaluation, civil commitment and the process of obtaining voluntary and involuntary treatment.
  • Demonstrate behaviors consistent with the highest standards of professionalism and medical ethics in all patient encounters.
  • Demonstrate professional behaviors when interacting with patients, families, and all members of the health care team (including physicians and non-physician health professionals).

*  Adapted from the Association of Directors of Medical Student Education in Psychiatry.

SURG 8110 Surgery
Credits:
11
Directors:
Miller
Grading:
Honors/High Pass/Pass/Fail
Description:

The third year core surgery clerkship will expose students to a variety of surgical experiences. The students will be assigned to the resident services at Bronson Methodist Hospital or Borgess Medical Center. They will have a preceptor that will mentor them and where the student will gain outpatient experience. They will be exposed to a variety of general surgery inpatient procedures and patients. The student will spend one week on night float to learn about management of emergent surgical diseases. 

The students will be expected to attend academic surgical conferences and will have assigned readings. The summative evaluation will be composed of direct clinical observations by preceptors, oral examinations, a standardized patient and a bioskills portion. Upon the completion of the clerkship students should have a basic knowledge of many common surgical diseases and be comfortable knowing which patients need referral to a surgeon. The students should also be comfortable with sterile technique and basic suturing.

Objectives:
  • Acquire History and Physical Exam skills, which lead to accurate assessment and planning of Surgical Care.
  • Demonstrate competent skill in basic surgical techniques knowing the proper application of those skills.
  • Describe common disease processes in standard treatments that include common core surgical considerations.
  • Develop knowledge, skills, attitudes and behaviors toward learning, which perpetuate lifelong learning, inquisitiveness and evidence-based practice.
  • Communicate with peers, mentors and allied health care personnel in an effective and professional manner.
  • Collaborate with peers, mentors and allied health care personnel in an effective and professional manner.
  • Describe typical postoperative care, including common complications of common core procedures.
  • Discuss the roles of medical students on the Surgery Clerkship and the role of Surgeons in health care delivery.
  • Demonstrate behaviors consistent with the highest standards of professionalism and medical ethics in all patient encounters.
  • Demonstrate professional behaviors when interacting with patients, families, and all members of the health care team (including physicians and non-physician health professionals).

*  Adapted from the University of Kansas School of Medicine’s reduced version of the Association for Surgical Education’s objectives.